Healthcare Provider Details

I. General information

NPI: 1780528877
Provider Name (Legal Business Name): LUTHERAN MEALS ON WHEELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 S 13TH ST
NEBRASKA CITY NE
68410-3424
US

IV. Provider business mailing address

1415 S 13TH ST
NEBRASKA CITY NE
68410-3424
US

V. Phone/Fax

Practice location:
  • Phone: 402-873-3690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: JACQUE KRAENOW
Title or Position: SECRETARY-TREASURER
Credential:
Phone: 402-873-3690